Re: Surgery Dec 11th - post-op pathology report

[Guest guest]

Ted G

This is what I found after surgery in 1996.

That the tests that can be done before primary treatment do not always tell the full story.

I never criticise anyone in the right diagnosis area who waits to have treatment, neither do I criticise them if they opt to have treatment. All we say is gain maximum info about alll options.

My best wishes

Surgery Dec 11th - post-op pathology report

Hi to all.Let me give you an update on know things are going otherwise. I thought you may want to know how I am feeling. During my stay in the hospital (surgery 12:30 PM Tuesday, left noon Thursday), I walked a total of approximately 4.5 miles (slow walks starting with less than .5 miles, and progressing to 1 mile walks). After leaving the hospital I walk on my treadmill for at least a mile three times during the day. I have increased the walks to 1.5 miles. I am still going slowly (on average, about 2 miles/hr).My next appointment is on Tuesday, Dec 18th. My expectation, from talking to my surgeon, is that they will be removing both the catheter and the incision staples at that time. He said that during surgery he feels that the bladder / urethra attachment went very well, and that he believes that the results will be very good, and there will not be any issue removing the catheter seven days after the surgery.You may have seen my other post where I discussed the nerve saving aspects of my surgery. When my surgeon went in to cut out the prostate, he said that on the right side, everything went very good. The tissue surrounding the prostate looked clear, and the right side nerve bundle separated from the prostate without any problems. He said that it was a "textbook" separation. Unfortunately, when he went to cut out the left side of the prostate, there was a lot more suspicious tissue then originally anticipated, especially since the biopsies only showed cancer in the right mid section of the prostate. The biopsy did show a high level of atypical (precancerous) cells on the left apex section of the prostate, but no cancer cells were found. Anyway, during the surgery, because of the suspicious tissue the surgeon found on the left side of the prostate, he had to take a deeper cut to be sure that he got all the cancer. What this means is that there was some nerve damage on the left side. He did leave as much of the left nerve that he felt comfortable with. He said that he had to cut some of the ancillary (not sure of the correct term to use) nerve tissue that branches out into the prostate tissue. In regard to my post-op pathology report, my surgeon called Saturday morning and said that he received the pathology report back. As mentioned before, the pre-op pathology report from the biopsies showed that the cancer was only confirmed on the right mid section of the prostate, and some atypical cells on the left apex section of the prostate. The Gleason's Score was 3+3=6, and Stage of T1C. The post-op pathology report showed that there was cancer on both the left and right sides of the prostate. The Gleason's Score has remained the same as 3+3=6, but the stage is now T2C. Regardless of the increased presence of the cancer on the left side of the prostate, the good news is that the post-op pathology report confirmed that the prostate cancer was a low grade of cancer. The best news is that all the marginal tissues were negative for cancer, meaning that it is very likely that the cancer was totally encapsulated within the prostate itself.Obviously, we will need to wait for the 30 day PSA test to get a better indication, but currently everything looks good, and we expect an undetectable PSA at that time.As always, best regards, and only positive thoughts,Ted G.

[Guest guest]

Always a pleasure to hear of good results. Keep us posted.

>

> Hi to all.

>

> Let me give you an update on know things are going otherwise. I

> thought you may want to know how I am feeling. During my stay in

the

> hospital (surgery 12:30 PM Tuesday, left noon Thursday), I walked a

> total of approximately 4.5 miles (slow walks starting with less

> than .5 miles, and progressing to 1 mile walks). After leaving the

> hospital I walk on my treadmill for at least a mile three times

> during the day. I have increased the walks to 1.5 miles. I am

still

> going slowly (on average, about 2 miles/hr).

>

> My next appointment is on Tuesday, Dec 18th. My expectation, from

> talking to my surgeon, is that they will be removing both the

> catheter and the incision staples at that time. He said that

during

> surgery he feels that the bladder / urethra attachment went very

> well, and that he believes that the results will be very good, and

> there will not be any issue removing the catheter seven days after

> the surgery.

>

> You may have seen my other post where I discussed the nerve saving

> aspects of my surgery. When my surgeon went in to cut out the

> prostate, he said that on the right side, everything went very

good.

> The tissue surrounding the prostate looked clear, and the right

side

> nerve bundle separated from the prostate without any problems. He

> said that it was a " textbook " separation. Unfortunately, when he

> went to cut out the left side of the prostate, there was a lot more

> suspicious tissue then originally anticipated, especially since the

> biopsies only showed cancer in the right mid section of the

> prostate. The biopsy did show a high level of atypical

> (precancerous) cells on the left apex section of the prostate, but

no

> cancer cells were found. Anyway, during the surgery, because of

the

> suspicious tissue the surgeon found on the left side of the

prostate,

> he had to take a deeper cut to be sure that he got all the cancer.

> What this means is that there was some nerve damage on the left

> side. He did leave as much of the left nerve that he felt

> comfortable with. He said that he had to cut some of the ancillary

> (not sure of the correct term to use) nerve tissue that branches

out

> into the prostate tissue.

>

> In regard to my post-op pathology report, my surgeon called

Saturday

> morning and said that he received the pathology report back. As

> mentioned before, the pre-op pathology report from the biopsies

> showed that the cancer was only confirmed on the right mid section

of

> the prostate, and some atypical cells on the left apex section of

the

> prostate. The Gleason's Score was 3+3=6, and Stage of T1C. The

post-

> op pathology report showed that there was cancer on both the left

and

> right sides of the prostate. The Gleason's Score has remained the

> same as 3+3=6, but the stage is now T2C. Regardless of the

increased

> presence of the cancer on the left side of the prostate, the good

> news is that the post-op pathology report confirmed that the

prostate

> cancer was a low grade of cancer. The best news is that all the

> marginal tissues were negative for cancer, meaning that it is very

> likely that the cancer was totally encapsulated within the prostate

> itself.

>

> Obviously, we will need to wait for the 30 day PSA test to get a

> better indication, but currently everything looks good, and we

expect

> an undetectable PSA at that time.

>

> As always, best regards, and only positive thoughts,

> Ted G.

>

[Guest guest]

Ted,

Thank you for sharing your post-op report as well as your physical regimen.

Sounds like you had successful surgery, and are recovering nicely. Keep up the positive attitude.

Best,

Hans

Surgery Dec 11th - post-op pathology report

Hi to all.Let me give you an update on know things are going otherwise. I thought you may want to know how I am feeling. During my stay in the hospital (surgery 12:30 PM Tuesday, left noon Thursday), I walked a total of approximately 4.5 miles (slow walks starting with less than .5 miles, and progressing to 1 mile walks). After leaving the hospital I walk on my treadmill for at least a mile three times during the day. I have increased the walks to 1.5 miles. I am still going slowly (on average, about 2 miles/hr).My next appointment is on Tuesday, Dec 18th. My expectation, from talking to my surgeon, is that they will be removing both the catheter and the incision staples at that time. He said that during surgery he feels that the bladder / urethra attachment went very well, and that he believes that the results will be very good, and there will not be any issue removing the catheter seven

days after the surgery.You may have seen my other post where I discussed the nerve saving aspects of my surgery. When my surgeon went in to cut out the prostate, he said that on the right side, everything went very good. The tissue surrounding the prostate looked clear, and the right side nerve bundle separated from the prostate without any problems. He said that it was a "textbook" separation. Unfortunately, when he went to cut out the left side of the prostate, there was a lot more suspicious tissue then originally anticipated, especially since the biopsies only showed cancer in the right mid section of the prostate. The biopsy did show a high level of atypical (precancerous) cells on the left apex section of the prostate, but no cancer cells were found. Anyway, during the surgery, because of the suspicious tissue the surgeon found on the left side of the prostate, he had to take a deeper

cut to be sure that he got all the cancer. What this means is that there was some nerve damage on the left side. He did leave as much of the left nerve that he felt comfortable with. He said that he had to cut some of the ancillary (not sure of the correct term to use) nerve tissue that branches out into the prostate tissue. In regard to my post-op pathology report, my surgeon called Saturday morning and said that he received the pathology report back. As mentioned before, the pre-op pathology report from the biopsies showed that the cancer was only confirmed on the right mid section of the prostate, and some atypical cells on the left apex section of the prostate. The Gleason's Score was 3+3=6, and Stage of T1C. The post-op pathology report showed that there was cancer on both the left and right sides of the prostate. The Gleason's Score has remained the same as 3+3=6, but the stage is now

T2C. Regardless of the increased presence of the cancer on the left side of the prostate, the good news is that the post-op pathology report confirmed that the prostate cancer was a low grade of cancer. The best news is that all the marginal tissues were negative for cancer, meaning that it is very likely that the cancer was totally encapsulated within the prostate itself.Obviously, we will need to wait for the 30 day PSA test to get a better indication, but currently everything looks good, and we expect an undetectable PSA at that time.As always, best regards, and only positive thoughts,Ted G.

Looking for last minute shopping deals? Find them fast with Yahoo! Search.

[Guest guest]

Ted, Tell me again when were you first diagnosed with the prostate cancer. I want to know the wait time in having surgery. I am a little concerned because my husband was diagnosed in November 7th and wont have his surgery until Feb 21st. The wait time is that long for the robot. Sincerely, Hans Van Schuerer wrote: Ted, Thank you for sharing your post-op report as well as your physical regimen. Sounds like you had successful surgery, and are recovering nicely. Keep up the positive attitude. Best, Hans

Surgery Dec 11th - post-op pathology report Hi to all.Let me give you an update on know things are going otherwise. I thought you may want to know how I am feeling. During my stay in the hospital (surgery 12:30 PM Tuesday, left noon Thursday), I walked a total of approximately 4.5 miles (slow walks starting with less than .5 miles, and progressing to 1 mile walks). After leaving the hospital I walk on my treadmill for at least a mile three times during the day. I have increased the walks to 1.5 miles. I am still going slowly (on average, about 2 miles/hr).My next

appointment is on Tuesday, Dec 18th. My expectation, from talking to my surgeon, is that they will be removing both the catheter and the incision staples at that time. He said that during surgery he feels that the bladder / urethra attachment went very well, and that he believes that the results will be very good, and there will not be any issue removing the catheter seven days after the surgery.You may have seen my other post where I discussed the nerve saving aspects of my surgery. When my surgeon went in to cut out the prostate, he said that on the right side, everything went very good. The tissue surrounding the prostate looked clear, and the right side nerve bundle separated from the prostate without any problems. He said that it was a "textbook" separation. Unfortunately, when he went to cut out the left side of the prostate, there was a lot more suspicious tissue then originally anticipated, especially

since the biopsies only showed cancer in the right mid section of the prostate. The biopsy did show a high level of atypical (precancerous) cells on the left apex section of the prostate, but no cancer cells were found. Anyway, during the surgery, because of the suspicious tissue the surgeon found on the left side of the prostate, he had to take a deeper cut to be sure that he got all the cancer. What this means is that there was some nerve damage on the left side. He did leave as much of the left nerve that he felt comfortable with. He said that he had to cut some of the ancillary (not sure of the correct term to use) nerve tissue that branches out into the prostate tissue. In regard to my post-op pathology report, my surgeon called Saturday morning and said that he received the pathology report back. As mentioned before, the pre-op pathology report from the biopsies showed that the cancer was only confirmed

on the right mid section of the prostate, and some atypical cells on the left apex section of the prostate. The Gleason's Score was 3+3=6, and Stage of T1C. The post-op pathology report showed that there was cancer on both the left and right sides of the prostate. The Gleason's Score has remained the same as 3+3=6, but the stage is now T2C. Regardless of the increased presence of the cancer on the left side of the prostate, the good news is that the post-op pathology report confirmed that the prostate cancer was a low grade of cancer. The best news is that all the marginal tissues were negative for cancer, meaning that it is very likely that the cancer was totally encapsulated within the prostate itself.Obviously, we will need to wait for the 30 day PSA test to get a better indication, but currently everything looks good, and we expect an undetectable PSA at that time.As always, best regards, and only

positive thoughts,Ted G. Looking for last minute shopping deals? Find them fast with Yahoo! Search.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

>

> Ted,

> Tell me again when were you first diagnosed with the prostate

cancer. I want to know the wait time in having surgery. I am a

little concerned because my husband was diagnosed in November 7th and

wont have his surgery until Feb 21st. The wait time is that long for

the robot.

> Sincerely,

>

I remember the Doc told me that he likes to wait at least a month or

so after the biopsy to let the gland heal up before doing surgery. I

doubt three months or so is a concern, and he has more time to get in

shape with diet and exercise to help him bounce back faster after

surgery.